Earl Banaag, is a 
Rehabilitation Practitioner based in Vallejo, California. Earl Banaag is licensed to practice in * (Not Available) (license number ) and his current practice location is 
508 Alabama St, Vallejo, California. He can be reached at his office (for appointments etc.) via phone at 
(707) 515-7186.
NPI number for Earl Banaag is 1144854183 and his current mailing address is 508 Alabama St, Vallejo, California. He 
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1144854183.
			
			
			
		 
		
		 
Healthcare Provider's Profile
		
			
			
			| Full Name | Earl Banaag | 
|---|
| Gender | Male | 
|---|
| Speciality | Rehabilitation Practitioner | 
|---|
| Location | 508 Alabama St, Vallejo, California | 
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. | 
			
			 
			
						  NPI Data:
			
			- NPI Number: 1144854183
 - Provider Enumeration Date: 02/28/2020
 - Last Update Date: 07/11/2025
 			
			
			 
		 
		 
Medical Identifiers
		Medical identifiers for Earl Banaag such as npi, medicare ID, medicare PIN, medicaid, etc.
		
		| Identifier | Type | State | Issuer | 
		| 1144854183 | NPI | - | NPPES | 
		
		 
Medical Taxonomies and Licenses
		
		| Taxonomy | Type | License (State) | Status | 
		| 101Y00000X | Counselor  |  (California) | Secondary | 
| 171M00000X | Case Manager/care Coordinator  |  (* (Not Available)) | Secondary | 
| 225400000X | Rehabilitation Practitioner  |  (* (Not Available)) | Primary | 
		
		
			
			
			
		
		
		 
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Earl Banaag is 
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
		
		
 
Mailing Address and Practice Location
		
		| Mailing Address | Practice Location Address | 
		Earl Banaag, 508 Alabama St, Vallejo, CA 94590-4446 Ph: () - | Earl Banaag, 508 Alabama St, Vallejo, CA 94590-4446 Ph: (707) 515-7186 | 
		
		 
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